Medical Billing Forum
Billing => Billing => : Migualla December 11, 2009, 12:49:19 PM
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Does anyone have Cahaba. I just started with a new job and their medicare is managed by Cahaba.. I am finding it somewhat difficult to understand. Any help or suggestions?
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I am in Atlanta, and CAHABA is our Medicare Contractor. I thought all Govt. type entities were confusing? ??? You have to call and talk to the right person for the right answers. I find them somewhat eager to help you.
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I think my biggest thing is that some claims crossover to secondaries and some dont?? What is up with that??? I come from the WPS world and they were a dream to work with, atleast for me..
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If they don't know about the secondaries, they can't crossover. We have some that automatically crossover, but they have them in their system.
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My boss and instructor once told me, dont believe anything the insurance compny tells you
When we looked at the remittance, I would call the insurance companies that had the claim crossed over or sent to the secondary. The usual response 100% of the time was , we're sorry, the claim is not on file. So,we sent all secondaries ourselves. If there was more than 1 claim, they went certified mail/return receipt. Even doing that caused, we're sorry, the claim is not on file. That didnt matter, we had the certified mail/receipt to send to the regulatory authorities which slowed the NOF excuse.
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Ughh! I want my WPS back!!!!!! LOL